Cerebral sinus thrombosis with intracerebral hemorrhage in pregnancy

A case report

Hung Shih Lin, Jui Feng Lin, Cheng Kuei Chang, Cheng Chia Tsai, Shiu Jau Chen

Research output: Contribution to journalArticle

6 Citations (Scopus)

Abstract

A 29-year-old woman who was pregnant for 12 weeks presented with headache for one week and drowsiness for two days. Computed tomography of the brain revealed multifocal hematomas with mass effect. Decompressive craniectomy was done to relieve the increased intracranial pressure. Magnetic resonance angiography and cerebral angiography were subsequently performed, both demonstrating thrombosis of the left transverse sinus. Treatment of sinus thrombosis generally includes correction of increased intracranial pressure and administration of anticoagulants, such as heparin. However, in this case heparin was contraindicated for the presence of intracranial bleeding, a clinical dilemma that requires careful considerations to balance treatment risks and benefits.

Original languageEnglish
Pages (from-to)189-193
Number of pages5
JournalActa Neurologica Taiwanica
Volume17
Issue number3
Publication statusPublished - Sep 2008

Fingerprint

Intracranial Sinus Thrombosis
Intracranial Thrombosis
Cerebral Hemorrhage
Intracranial Pressure
Heparin
Lateral Sinus Thrombosis
Decompressive Craniectomy
Pregnancy
Cerebral Angiography
Magnetic Resonance Angiography
Sleep Stages
Hematoma
Anticoagulants
Headache
Tomography
Hemorrhage
Brain
Therapeutics

Keywords

  • Cerebral sinus thrombosis
  • Craniectomy
  • Increased intracranial pressure
  • Pregnancy
  • Transverse sinus

ASJC Scopus subject areas

  • Clinical Neurology
  • Neurology

Cite this

Cerebral sinus thrombosis with intracerebral hemorrhage in pregnancy : A case report. / Lin, Hung Shih; Lin, Jui Feng; Chang, Cheng Kuei; Tsai, Cheng Chia; Chen, Shiu Jau.

In: Acta Neurologica Taiwanica, Vol. 17, No. 3, 09.2008, p. 189-193.

Research output: Contribution to journalArticle

Lin, Hung Shih ; Lin, Jui Feng ; Chang, Cheng Kuei ; Tsai, Cheng Chia ; Chen, Shiu Jau. / Cerebral sinus thrombosis with intracerebral hemorrhage in pregnancy : A case report. In: Acta Neurologica Taiwanica. 2008 ; Vol. 17, No. 3. pp. 189-193.
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